Provider Demographics
NPI:1487423760
Name:NADIG, KUBER (DDS)
Entity type:Individual
Prefix:
First Name:KUBER
Middle Name:
Last Name:NADIG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3248 CLARKS BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30506-3722
Mailing Address - Country:US
Mailing Address - Phone:678-653-5080
Mailing Address - Fax:
Practice Address - Street 1:200 MARTER AVE STE 800
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-3149
Practice Address - Country:US
Practice Address - Phone:856-235-0905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI03010000122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist